HomeMy WebLinkAbout0148 THIRD AVENUE (HYANNIS) - Health (3) 14� -Nrd kme , K,5
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No... .. f Fxs.. 30.�00..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH ge��plo APPROVED
TOWN OF BA,RNSTABLE a» t
Appliration for llhipasal Workii Ton nrt ' rrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
148 3rd Ave W. Hyannisport
--......, -•_•qy.,._.............•-------•--------..-------- -----------------*------•-- --......-------------------•-••-------------------------................
.....................---•-
C.`r'1S C'.OY�1nS Location-Address or Lot No.
......................__.................................................................----- -----------•......................................................................................
W W.E. Robinson Septig'tervice P 0 Box 1089 CentezVft' .e
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms._..3.....................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type e of Building ............... No. of persons............................ Showers
� YP g ------------------•-----------------------•P--- ( ) — Cafeteria ( )
Other fixtures .----••......--•-- ----•-•---••......••-----•----.
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date-----------.........---------...........
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
GT4 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................
9 -•••------•-•---•-----•-•--•---•----• ..........................................................................................
...
0 Description of Soil--sand---------------------------------•-•----•----•--------------------------......
V .....--••-•••••---••••-•••••-••-.......................................................................................................................
W
--------------- ----------------------------------------------------------------------------------------------•---------------.....---------------------------------•-------------------..............--
U Nature of Repairs or Alterations—Answer when applicable__
--stonepack..existing--precast_.lea
.............. ..........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of.the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been i ued by t a of health.
ov
Signed-...L .. --------- ...°... g
Application Approved By -------------------- --- ........
Date
Application Disapproved for the following reasons- -------------------------- ------- --------- ----------------------- - ----------------------- -----------------------
- --------------------------------- -- ......................................
qq Date
PermitNo. ........./... -..-. ...`f./------------------------------ Issued ........................................................-----......
Date
No..... - f Fms..2 .00.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Disposal Works C un.5trurtionV ami#
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
148 3rd Ave W. Hyannisport
................__................................... • ... ----•------.............._._...._..._.............
Cr1S Collins Location Address or Lot No.
......................—.......................................................................... ..........._..............................................................................._.....
W W.E. Robinson Septic service P 0 Box 1089 Centerville
Installer Address
Type of Building Size Lot............................Sq. feet
,U� Dwelling—No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
p" Other fixtures -----------------------------------•----------
W Design Flow...........................................gallons per person per day. Total daily flow-----_......._._..__....___.................gallons.
04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter------------:... Depth................
Disposal.Trench—No..................... Width.................... Total Length.................... Total leaching area.................... ft.
3 Seepage Pit No--------------------- Diameter-.-___---__--__-_-_- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
PercolationTest Results Performed by.......................................................................... Date........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
pl Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to'ground water........................
P4 ----•-------------------------•-----------------•------•---------•-----...............-•--.............
ODescription of Soil.—Stand.................................................................. ----------------------------- ::..
W
U ----•-••---------------------------------------•----•-----------------------------------------------•----------------------•------•------------.---------------------------.....-------•----------=--•--
W ------------------------------------------------------------------------------------------------------------------------------------------------•-•••-----••-•---•••---•-•-••---•--••----...........•--
VNature of Repairs or Alterations—Answer when applicable................................................................................................
stonxka __+ t�, ? a5 1h?� ----------------------------------------------------------------•--------.......................................
Agreement: !�
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
y operation until a Certificate of Compliance has been is ued by t oa d�f health.
_ y
system em in o a Signed ....! . - --- ----- ................................................ ..........
i ce"
:. Dare
Application Approved By -------------------- �' ------...-------1!!.;--�-- ..
-...-G-fa'"''��-e_.f',,n..................................-----------"-------.....-.--.. Dare
Application Disapproved for the following reasons: ............... ................................................------------------------------------.................................
-------------------------------------------------------------------- -- -- ------------------------------------------------------------.......................................... ---------------- ---- ---- ....------.........
Permit No. .............. ...... -7<
�- - --------- -- ---------- Issued -------------------------- ........................... -re------
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Gextifi ate of (fantlalian.ce
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X )
by.....W.E.- RObinsonl...Septa.c---Service--------------------------------------------------- - -----------------------------------------------............................................
Installer
at --.. 148 3rd AvEeW. Hyannisport. -- _
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ).-.... -7.1......... dated ................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................. �....��- f Inspector ...............�-_ia�----------------------------.................. ..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Elisjuval Works Tons ra Uart "permit
Permission is hereby granted---- ra_ n-b4——n s,,,.+ ; ......................... ..........................................
to Construct ( ) or Repair (X ) an Individual Sewage Disposal System
at No....... N t u.,�.,,,;
- .... - : ................•--------•...............................................................................................---- ----------------•...._.....---------••----------------------•--•---•------..........----
Street 92 Y��/
as shown on the application for Disposal Works Construction Permit No. /._______........_ Dated..........................................
)
DATE................................................................................--• Board of Health
FORM 36508 HOBBS h WARREN.INC..PUBLISHERS